and cervix are sometimes torn during
labor and should be immediately repaired. The perineum is the support for
the organs of generation and if it is not solid the ovaries, tubes, womb
and vagina will sag and fall. Neglect of this simple operation at the
proper time results in backaches, headaches, etc. Many women have suffered
for years and doctored for other complaints when proper attention to the
real trouble would have saved all that expense and pain. Your physician
should be requested, in advance, to attend before he leaves to any
laceration that may occur during labor. At this time it causes little or
no pain. If postponed until next day or later it would be painful and
require an anesthetic. Many cases of cancer are caused by neglected
lacerations.

PILES.--It is often necessary to operate both for external and internal
piles. The result is usually complete relief and cure.

CANCERS.--Cancers should be operated on early. A sore on the womb, lip or
tongue, or lump on the breast that continues for a little time without
getting better, is dangerous. It may soon spread in the surrounding tissue
and general system. Operations on the womb and breast, performed in time,
are very successful. Such tumors or sores should not be neglected. A lump
in the breast should be examined early. The womb should be examined if
there is a discharge from the vagina that continues. In such a case the
family doctor can determine what should be done. A sore on the lip,
tongue, face, etc., that continues and refuses to heal should cause
suspicion and be shown to a physician.

PLEURISY.--"Water in the chest" sometimes follows pleurisy. This, if not
absorbed, must be drawn off and is quite easily done. After some cases of
pneumonia the lung does not clear up properly and pus forms in it. An
operation is sometimes necessary to evacuate it. This should be performed
before the patient becomes very much exhausted. Some people allow it to
continue too long and thus lessen the chances of recovery when an
operation is at last performed.

SQUINT.--There is no need for any person being cross-eyed if attention is
early given to the trouble. Sometimes properly fitted glasses will correct
this trouble, but an operation is often necessary and is very successful
and not serious or painful.

[OPERATIONS 665]

TRACHEOTOMY AND INTUBATION.--The operation of tracheotomy, opening of the
wind-pipe, is performed where there is choking from a foreign